Provider Demographics
NPI:1538436183
Name:TROUTMAN, DEBRA (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:
Last Name:TROUTMAN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 DOGWOOD ACRES RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:TN
Mailing Address - Zip Code:37658-3348
Mailing Address - Country:US
Mailing Address - Phone:423-725-2314
Mailing Address - Fax:
Practice Address - Street 1:3614 UNICOI DR
Practice Address - Street 2:
Practice Address - City:UNICOI
Practice Address - State:TN
Practice Address - Zip Code:37692-6860
Practice Address - Country:US
Practice Address - Phone:423-743-7151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000014380363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily